HomeMy WebLinkAbout1965-06-22 Permit, Septic System #819Village Permit N2 819
Contractor LGf�--r Address-y,a � �� _
Owner.B", M .% - _---- Address-4/a (3 0x -�— ----
State License No. ___ ___ Village License No. _
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date �7- "2"/ J� S'
Parcel Nob '!!L- 1- D 1 Q
Section No �— Lot�,Q Block-tl` _ Subdivision
Plat No. �L�
Other Description:
I hereby agree that, in case a permit is granted; all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fee $ _ Signature of applicant
Install
sewage disposal systems: Fee $.�---
Install
water supply systems: Fec
Repair
Fee $ _ Signature of Village Official
Total amount paid to Village....... $7